Individual
MATTHEW AUSTIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
16611 S 40TH ST STE 130, PHOENIX, AZ 85048-0564
(480) 706-1199
(480) 706-3999
Mailing address
14287 N 87TH ST STE 220, SCOTTSDALE, AZ 85260-3698
(602) 329-8250
(480) 565-1898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
31552
AZ
Other
Enumeration date
01/27/2021
Last updated
02/23/2022
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